微视频教育结合积极心理管理对髋关节置换术康复效果的影响

The effect of micro-video education combined with active psychological management on the rehabilitation effect of hip replacement

目的探讨微视频教育结合积极心理管理对髋关节置换术康复效果的影响。方法选取天津市第五中心医院骨科2018年1—12月收治的100例人工髋关节置换的患者为研究对象。采用随机数字表法分为对照组和观察组各50例,对照组给予常规护理方式,观察组给予微视频教育结合积极心理管理。评价2组患者术后抑郁情绪、疼痛程度、关节功能和并发症。结果干预后,观察组患者抑郁自评量表评分为(34.72±6.83)分,明显低于对照组的(40.58±7.59)分,差异有统计学意义(t值为4.058,P<0.05);观察组疼痛控制教育满意度及对控制或减轻疼痛方法的满意度评分分别为(43.01±5.72)、(63.77±8.62)分,均优于对照组的(33.96±4.58)、(55.15±9.27)分,差异有统计学意义(t值为8.733、4.815,P<0.05);观察组髋关节功能优良率为90.00%(45/50),高于对照组的64.00%(32/50),差异有统计学意义(χ^(2)值为4.336,P<0.05);观察组并发症发生率为2.00%(1/50),明显低于对照组的18.00%(9/50),差异有统计学意义(χ^(2)值为7.111,P<0.05);干预后观察组生命质量各条目评分均高于对照组,差异均有统计学意义(t值为-9.859~-3.154,P<0.01)。结论微视频教育结合积极心理管理能够改善人工髋关节术后患者的抑郁情绪,减轻关节疼痛程度,促进髋关节功能,减少并发症。

Objective To explore the effect of micro-video education combined with active psychological management on the rehabilitation effect of hip replacement.Methods From January to December 2018,100 patients with total hip arthroplasty were divided into control group and observation group,50 cases in each group.The control group was given routine nursing,and the observation group was given micro video education combined with positive psychological management.The depression,pain,joint function and complications were evaluated.Results After the intervention,the Self-rating Depression Scale(SDS)score of patients in the observation group was(34.72±6.83)points,which was significantly lower than(40.58±7.59)points of the control group.The difference was statistically significant(tvalue was 4.058,P<0.05);pain control education in the observation group and satisfaction scores for pain control or reduction methods were(43.01±5.72)and(63.77±8.62)points respectively,which were better than the control group's(33.96±4.58)and(55.15±9.27)points.The difference was statistically significant(tvalues were 8.733,4.815,P<0.05);the excellent and good rate of hip joint function in the observation group was 90.00%(45/50),which was higher than 64.00%(32/50)in the control group.The difference was statistically significant(χ^(2)value was 4.336,P<0.05);the complication rate in the observation group was 2.00%(1/50),which was significantly lower than the control group's 18.00%(9/50).The difference was statistically significant(χ^(2)value was 7.111,P<0.05);The scores of each item of quality of life in the observation group were higher than those in the control group,and the differences were statistically significant(tvalues were-9.859 to-3.154,P<0.01).Conclusion Micro video education combined with positive psychological management can improve the depression of patients after hip arthroplasty,reduce the degree of joint pain,promote the function of hip joint and reduce complications.